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        HEV Ⅳ Real Time RT-PCR Kit User Manual For In Vitro
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1.     Liferiver      Revision No   ZJO008   Issue Date  Jul 1    2012   HEV IV Real Time RT PCR Kit User Manual  For In Vitro Diagnostic Use Only    HR 0011 01    For use with LightC ycler1 0 2 0 Instrument     ec   pep  Obelis S A     Boulevard G  n  ral Wahis 53  1030 Brussels  BELGIUM  Tel    32  2 732 59 54  Fax    32  2 732 60 03  E Mail   mail   obelis net    CE  Vs I    aal Shanghai ZJ Bio Tech Co   Ltd   www liferiver com cn Tel   86 21 34680596  trade   liferiver com cn Fax   86 21 34680595  2    floor No 15 Building No 188 Xinjunhuan road   PuJiang Hi tech Park Shanghai China    1  Intended Use   HEV real time RT PCR kit is used for the detection of HEV type IV in serum  plasma or stool  sample by using real time PCR systems    2  Principle of Real Time PCR   The principle of the real time detection is based on the fluorogenic 5   nuclease assay  During the PCR  reaction  the DNA polymerase cleaves the probe at the 5    end and separates the reporter dye from the  quencher dye only when the probe hybridizes to the target DNA  This cleavage results in the  fluorescent signal generated by the cleaved reporter dye  which is monitored real time by the PCR  detection system  The PCR cycle at which an increase in the fluorescence signal is detected initially   Ct  is proportional to the amount of the specific PCR product  Monitoring the fluorescence  intensities during Real Time allows the detection of the accumulating product without HEVing to  re open the reaction tube af
2.   Storage  e All reagents should be stored at  20  C  Storage at  4  C is not recommended   e All reagents can be used until the expiration date indicated on the kit label   e Repeated thawing and freezing   gt 3x  should be avoided  as this may reduce the sensitivity of  the assay   e Cool all reagents during the working steps   e Super Mix should be stored in the dark   6  Additionally Required Materials and Devices  e Biological cabinet  e Trypsin digestive Solution  e Real time PCR reaction tubes plates  e Pipets  0 5 ul     1000 ul   e Sterile microtubes  e Biohazard waste container  e Tube racks  e Desktop microcentrifuge for    eppendorf    type tubes  RCF max  16 000 x g        e Real time PCR system  e Vortex mixer  e Cryo container  e Sterile filter tips for micro pipets  e Disposable gloves  powderless  e Refrigerator and Freezer    7     Warnings and Precaution  e Carefully read this instruction before starting the procedure   e For in vitro diagnostic use only   e This assay needs to be carried out by skilled personnel   e Clinical samples should be regarded as potentially infectious materials and  should be prepared in a laminar flow hood   e This assay needs to be run according to Good Laboratory Practice   e Do not use the kit after its expiration date   e Avoid repeated thawing and freezing of the reagents  this may reduce the sensitivity of the test   e Once the reagents have been thawed  vortex and centrifuge briefly the tubes before use   e Prepare quickly
3.  the Reaction mix on ice or in the cooling block   e Set up two separate working areas  1  Isolation of the RNA  DNA and 2  Amplification   detection of amplification products   e Pipets  vials and other working materials should not circulate among working units   e Use always sterile pipette tips with filters   e Wear separate coats and gloves in each area     e Do not pipette by mouth  Do not eat  drink  and smoke in laboratory   e Avoid aerosols  8  Sample Collection  Storage and Transport  e Collected samples in sterile tubes   e Specimens can be extracted immediately or frozen at  20  C to  80  C   e Transportation of clinical specimens must comply with local regulations for the transport of  etiologic agents   9  Procedure  9 1 RNA Extraction  Different brands of RNA extraction kits are available  You may use your own extraction systems  or the commercial kit based on the yield  For RNA extraction kit  please comply with  manufacturer   s instructions  The recommended extraction kit is as follows     Nucleic Acid Isolation Kit Cat  Number  RNA Isolation Kit ME 0010 ME 0012   ZJ Biotech  QIAamp Viral RNA Mini Extraction Kit  50  52904 QIAGEN    9 2 Internal Control   It is necessary to add internal control  IC  in the reaction mix  Internal Control  IC  allows the user to  determine and control the possibility of PCR inhibition    Add the internal control  IC  1ul rxn and the result will be shown in the 560nm    9 3 Quantitation   The kit can be used for quantitative or 
4. egative control  For reasons of unprecise pipetting  always add an  extra virtual sample  Mix completely then spin down briefly in a centrifuge    2  Pipet 151 Master Mix with micropipets in sterile filter tips to each Real time PCR reaction  plate tubes  Separately add 5ul RNA sample  positive and negative controls to different  reaction plate tubes  Immediately close the plate tubes to avoid contamination    3  Spin down briefly in order to collect the Master Mix in the bottom of the reaction tubes    4  Perform the following protocol in the instrument     cycle  Icycle  95  C for 5sec  60  C for 30sec    Fluorescence measured at 60  C   10 Threshold setting  Choose Arithmetic as back ground and none as Noise Band method  then  adjust the Noise band just above the maximum level of molecular grade water  and adjust the  threshold just under the minimum of the positive control   11 Calibration for quantitative detection  Input each concentration of standard controls at the end  of run  and a standard curve will be automatically formed   12 Quality control  Negative control  positive control  internal control and QS curve must be  performed correctly  otherwise the sample results is invalid     Molecular Grade Water   Positive Contol qualtaiveassayy   35    QS  quantitative detection     13  Data Analysis and Interpretation  The following results are possible     Selection of fluorescence channels  Target Nucleic Acid       40cycles          Result Analysis    Re test  If it i
5. qualitative real time RT PCR detection    For performance of quantitative real time PCR  standard dilutions must be prepared firstly as  follows  Molecular Grade Water is used as the dilution    Dilution is not needed for performance of qualitative real time PCR detection        Take positive control  1x10 copies ml  as the starting high standard in the first tube  Respectively  pipette 36ul Molecular Grade Water into next three tubes  Do three dilutions as the following  figures    Dilution of Standards    Aul dul 4ul    Y WV WV F    1X107 1X10 1X105 1X 104 copiessm    To generate a standard curve on the real time system  all four dilution standards should be used and  defined as standard with specification of the corresponding concentrations    Attention    A  Mix thoroughly before next transfer    B  The positive control contains high concentration of the target DNA  Therefore  be careful during  the dilution in order to avoid contamination    9 4 RT PCR Protocol   The Master Mix volume for each reaction should be pipetted as follows     13l 1 pl Tul  Super Mix Enzyme Mix Internal Control  Sul 15l  Extraction RNA Master Mix  Reaction  Plate  Tube          PCR Instrument    XPCR system without 560nm channel may be treated with 1u  Molecular Grade Water instead of 1ul IC    1  The volumes of Super Mix and Enzyme Mix per reaction multiply with the number of  samples  which includes the number of controls  standards  and sample prepared  Molecular  Grade Water is used as the n
6. r Mix for the specific amplification of HEV RNA  The reaction is  done in one step real time RT PCR  The first step is a reverse transcription  RT   HEV RNA is  transcribed into cDNA  Then  a thermostable DNA polymerase is used to amplify the specific gene  fragments by polymerase chain reaction  Fluorescence is emitted and measured by the real time  systems    optical unit  The detection of amplified HEV DNA fragment is performed in fluorimeter  channel 530nm with the fluorescent quencher BHQ1  In addition  the kit can be used for  identification of possible PCR inhibition by measuring the 560nm fluorescence of the internal  control  IC   An external positive control defined as 1x10   copies ml is supplied to allow the  determination of the gene load  For further information  please refer to section 9 3 Quantitation    4  Kit Contents    HEV IV Super Mix 1 vial  350ul  RT PCR Enzyme Mix 1 vial  28 ul  Molecular Grade Water 1 vial  400u1  Internal Control  IC  1 vial  30ul  HEV IV Positive Control 1x10   copies ml    1 vial  30ul    Analysis sensitivity  5X 10   copies ml  LOQ  1X10f 1 X 10   copies ml  Note  Analysis sensitivity depends on the sample volume  elution volume  nucleic acid extraction  methods and other factors  If you use the RNA extraction kits recommended  the analysis sensitivity  is the same as it declares  However  when the sample volume is dozens or even hundreds of times  greater than elution volume by some concentrating method  it can be much higher   5
7. s still 35 40  report as 1   PCR Inhibition  No diagnosis can be concluded     For further questions or problems please contact our technical support at trade  liferiver com cn       25   aes          Be    
8. ter the amplification    3  Product Description   Hepatitis E is a viral hepatitis  liver inflammation  caused by infection with a virus called hepatitis E  virus  HEV   The viral particles are 27 to 34 nanometers in diameter  are non enveloped and contain  a single strand of positive sense RNA that is approximately 7300 bases in length    There exist at least four major genotypes of HEV  type I  Asian strains   type I   a single Mexican  strain   typelll strains from sporadic cases in industrialized countries   and typelV strains from  sporadic cases in China  Japan  and Taiwan     It is spread mainly through fecal contamination of water supplies or food  The incidence of hepatitis  E is highest in adults between the ages of 15 and 40  Though children often contract this infection as  well  they less frequently become symptomatic  Mortality rates are generally low  for Hepatitis E is a     self limiting    disease  in that it usually goes away by itself and the patient recovers  However   during the duration of the infection  usually several weeks   the disease severely impairs a person   s  ability to work  care for family members  and obtain food  Hepatitis E occasionally develops into an  acute severe liver disease  and is fatal in about 2  of all cases    HEV IV real time RT PCR kit contains a specific ready to use system for HEV detection  for  genotype IV  by Reverse Transcription Polymerase Chain Reaction  RT PCR  in the real time PCR  system  The master contains Supe
    
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